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{ 1 ' 6vrtb.)- A � D4roit- <br /> , xf.� P'i}� �•,(�a;" � s �- ��r r� `i Si i£ �3i 4 �, i�L�j <br /> �._.� Dr rr -..41:1 �,r vs kt,•..-,aYp L#' �'1 tAtrorrkt d•y",. �I LJ 1idlo; a' : ��' •�-`+ °�{ � 2 4 . .[., <br /> ti c r ' ���SY :S)'.. :.e-:..�.�aS..ns< is P:r - .. <br /> . b: c. £ _ I. n• ...on a d` ti . <br /> ,�� ► : .rdi :as • ,peg ' o g ' :mu-.I : op atu ❑� Trip permit v e <br /> L f �ti..' Ic t•.s, 044C} 14aLlpg }S}t fi1.:0 <br /> to� v o 't � <br /> ❑■ Dealer/seller ❑ Lender ❑Escrow/title agent ❑ Owner/buyer ❑ Legal representative <br /> Name:HOMES DIRECT OF OREGON <br /> Address(including city, state,and ZIP):3838 PALM HARBOR DR NE, MILLERSBURG, OR 97321 <br /> Phone:541-928-2083 <br /> Email:neilaw31@gmail.com <br /> �.�11''.wRf ta-�r+ts� iv�`'.��`Y�>�('�3+,Y��fi r+1*'r�+���y�x�' 7 t�� i�'%�'�. '�'t-(y��i�f z i.�i� �4: � <br /> Lf s,,P '. 010,, ta�ir i51'F v♦ 4/ .,`rt,\'<10 �:lytl,1rAy�l t�ti'{.;.t< a it !i '' Ft, :t °.�., t. Y. <br /> Home ID number(if known): DMV X-plate number(if known): <br /> NEW <br /> ❑ Moving in from another state <br /> Has no home ID or X-plate because: ❑Coming out of county deed records <br /> ❑Other: <br /> Manufacturer:PALM HARBOR Model:310AF14371 C Year:2020 <br /> Manufacturer serial number HUD number <br /> PHH3100R19-13549A ORE548380 <br /> *Number of sections:1 *Square footage:600 *Number of bedrooms:1 *Number of bathrooms:1 <br /> *Type of roofing:.COMP. *Type of siding:LAP CEMENT *Heating:ELECTRIC *Cooling:NONE <br /> *Date of sale:08/30/2019 *Sales price:$58,455.00 *Includes land:❑Yes ❑■ No <br /> Yp1gt t } N )�I'e ICON111410'130 a rl 04810,1b1 a n <br /> Dealer name: Dealer license number: Dealer address and phone: <br /> HOMES DIRECT OF OREGON MSD523 3838 PALM HARBOR DR NE <br /> MILLERSBURG, OR 97321 <br /> (541)928-2083 <br /> 'This manufactured structure is free and clear of all mortgages,deeds of trust,security interests,and liens. I have the <br /> legal right to sell this manufactured structure. <br /> I hereby declare that the above statement is true to the best of my knowledge and belief,and that I understand it is <br /> made for use as evidence in court and is subject to penalty for perjury. <br /> Dealer name (print): Dea er sign t Date: <br /> NEILA WHITE 11/20/2019 <br /> TRANSPORTER INFORMATION'(if not moving,:leave blank) <br /> Transporter name: Transporter address and phone: <br /> BENNETT TRUCK TRANSPORT PO BOX 503098 <br /> WHITE CITY, OR 97503 (541)879-3444 <br /> 440-2952(7/17/COM) Page 2 <br />